Presentation ageing and disability


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Presentation to Departmenf for International Development 2009

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Presentation ageing and disability

  1. 1. <ul><li>Ageing, disability and development </li></ul><ul><li>Disability Mainstreaming Forum </li></ul><ul><li>DFID 3 rd March 2009 </li></ul><ul><li>Sylvia Beales </li></ul><ul><li>HelpAge International </li></ul><ul><li>[email_address] </li></ul>
  2. 2. Context and Definitions <ul><li>Life expectancy is extending worldwide, fertility rates are falling, and demographic ageing is accelerating – fastest in the developing world </li></ul><ul><li>Disabilities is an umbrella term, covering impairments, activity limitations, and participation restrictions. An impairment is a problem in body function or structure; an activity limitation is a difficulty encountered by an individual in executing a task or action; while a participation restriction is a problem experienced by an individual in involvement in life situations. </li></ul><ul><li>Thus disability is a complex phenomenon, reflecting an interaction between features of a person’s body and features of the society in which he or she lives. </li></ul><ul><li>(World Health Organisation 2009) </li></ul>
  3. 3. Reality check ; who – and where - are the poor?
  4. 4. Life expectancy trends
  5. 5. Poverty in older age
  6. 6. Ageing and disability <ul><li>Hearing loss, vision problems and mental disorders are the most common causes of disability and loss of livelihood – 82 % of blind persons are over 50 </li></ul><ul><li>Depression and Alzheimer's are among the 20 leading causes of disability worldwide. Alzheimer's affects 1 in 20 over the age of 65 and in in 5 over the age of 80 </li></ul><ul><li>Fewer than 25% of those affected have access to adequate treatment and health care </li></ul><ul><li>Chronic limiting disorders are treatable at low cost (e.g. hearing loss; cataracts; stress; WHO wants extra mental health spend of US$ 2 per person per year in low-income countries </li></ul><ul><li>High overall rates underline the need for focus on these conditions and wider access to interventions that help people live productively </li></ul>
  7. 7. Non communicable diseases (WHO 2008)
  8. 8. Death by Non Communicable Disease WHO projections +17% -3% 388 35.7 58.2 Total +20% +1 105 9.7 12.4 Western Pacific +21% -16% 89 8.0 14.7 South-East Asia +4% +7% 88 8.5 9.8 Europe +25% -10% 25 2.2 4.3 Eastern Mediterranean +17% -8% 53 4.8 6.2 Americas +27% +6% 28 2.5 10.8 Africa Trend: Death from NCD Trend: Death from infectious disease NCD deaths (millions) NCD deaths (millions) Total deaths (millions) Geographical regions (WHO classification) 2006-2015 (cumulative) 2005
  9. 9. Age helps <ul><li>Older people make critical contributions to the welfare of their families and thus to the development of their communities and societies </li></ul><ul><li>Older people are caregivers, breadwinners </li></ul><ul><li>Older people are carers even when disabled and struggling to access health and other basic services </li></ul><ul><li>In the context of the HIV/AIDS, older women frequently act as the sole carers of their children dying of the disease and their grandchildren left orphaned… </li></ul><ul><li>Older people have the same rights as other age groups </li></ul>
  10. 10. Approaches to work to support older people <ul><li>Grassroots work that directly supports older people and their families </li></ul><ul><li>Supporting and strengthening organisations that are working in practical ways to improve the lives of older people and their dependents </li></ul><ul><li>Demonstrating contributions and building connections and coalitions across generations and across sectors </li></ul><ul><li>Supporting older people to be influencers on ageing, to gain access to services, to social protection and development benefits </li></ul><ul><li>Strengthening the capacity and reach of organisations working with older people </li></ul><ul><li>Connecting grassroots experience with government thinking and policymaking </li></ul>
  11. 11. Way forward for partnerships <ul><li>Recognise and act on impact of chronic limiting illness for older people and their dependents </li></ul><ul><li>Ensure age desegregation in MDG, poverty, hunger and disability data </li></ul><ul><li>Acknowledge intergenerational interdependence </li></ul><ul><li>Ensure age friendly health access and delivery – focus on accessibility, non communicable diseases and cost effective responses </li></ul><ul><li>Social Protection; universal basic income and equitable access to health – ‘minimum package’ </li></ul><ul><li>Rights promotion – equal treatment equal rights </li></ul><ul><li>Awareness of and prevention of discrimination and abuse </li></ul><ul><li>HIV/Aids programmes that support older carers and access to treatment for all </li></ul><ul><li>Empowerment; voice, dignity and participation in old age </li></ul><ul><li>Inclusion of older people in humanitarian programmes </li></ul><ul><li>Age and disability awareness training, linked to service assessment, access monitoring and recorded age and disability outputs </li></ul>